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Claims Review Nurse jobs

Viewing 1 - 10 of 2,952 jobs

  • Medical Necessity Review RN

    Kaiser Permanente - Portland, OR

    claims for clinically related issues to ensure accuracy of claims payment, in coordination with the Claims ... working relationships, and to position the Clinical claims review resources to effectively support organizational...

    4 days ago from Kaiser

  • Nurse Claims Manager Advocate

    Cameron Craig Group - Chicago, IL

    complex Workers Compensation needs. The position of Nurse Claims Manager Advocate requires a strong knowledge of the ... Clients on ways to reduce or eliminate their claims, e.g. review of loss histories for trends requiring...

    4 days ago from Cameron Craig Group

  • RN Case Manager PRN

    HCA Healthcare - Thornton, CO

    utilization of resources. Performs concurrent clinical review to determine appropriateness of admission and ... required. Performs telephonic clinical reviews with claims insurance personnel to facilitate reimbursement for...

    12 hours ago from HCA Healthcare

  • RN - Clinical Programs Manager

    John Muir Health - Walnut Creek, CA

    authorization and referral services, concurrent inpatient review and discharge planning services. Oversees management ... and reimbursement issues. Responsible for resolving medical claims issues related to the UM process. Attends appropriate...

    6 days ago from John Muir Health

  • Registered Nurse - RN -Utilization Management

    Maxim Facility Nursing - Los Angeles, CA

    for pre-service, concurrent post-service and retrospective claims medical review. Monitors and oversees the collection ... nursing, nurse, er, emergency, practical nurse, medical, surgical, obstetrics, pediatrics, intensive care unit,...

    4 days ago from Maxim Facility Nursing

  • RN Case Manager

    HCA Healthcare - Tallahassee, FL

    Provide Athletic Training Services to student athletes under the direction of the team physician or by written referral from a physician, and in accordance with state athletic training practice act. • Maintain appropriate general treatment...

    7 days ago from HCA Healthcare

  • Registered Nurse-Dialysis

    U.S. Department of Veterans Affairs - Buffalo, NY

    Qualifications: Education/Experience Requirements: Nurse I, Level 1 ? None beyond basic educational requirement (Associa ... Reference: VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD http://www1.va.gov..

    3 days ago from U.S. Department of Veterans Affairs

  • Risk Management Nurse - (Risk Management RN)

    Onward Healthcare - Fall River, MA

    to reduce liability exposure and potential malpractice claims by reviewing patient records. Considered a high-pressure job, risk management nurses require advanced patience and tact, as well as skills in conflict resolution, writing, and...

    5 days ago from Travel Nurse Source

  • VP of Quality and Safety - Registered Nurse required

    HCA Healthcare - Brooksville, FL

    historical and concurrent occurrence and claims data and national trends. * Facilitates and directs ... * Manages staff performance through regular review, real time feedback, and performance planning. Ensures...

    6 days ago from HCA Healthcare

  • Nurse Claims Manager Advocate

    Fulltimegigs - Chicago, IL

    complex Workers Compensation needs. The position of Nurse Claims Manager Advocate requires a strong knowledge of the ... Clients on ways to reduce or eliminate their claims, e.g. review of loss histories for trends requiring...

    4 days ago from FullTimeGigs